NPIMap

Organization Active NPI

Oregon Massage and Wellness Clinic

  • Massage Therapist
  • Oregon City, OR
National Provider Identifier
1609268002
Registry record updated Feb 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
5172 Issued in OR
Legal business name
OREGON MASSAGE AND WELLNESS CLINIC
Practice address
415 17TH St Ste 8
Oregon City, OR 97045-1010
Phone
(503) 467-1561
NPI assigned
Feb 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Chelle Mitchell, BA LMTNPI 1003218892
Title
Owner / LMT
Phone
(503) 467-1561

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X 5172 OR Primary

Addresses

Primary practice location

415 17TH St Ste 8
Oregon City, OR 97045-1010

Mailing address

415 17TH St Ste 8
Oregon City, OR 97045-1010
Phone (503) 467-1561

National Provider Directory

National Provider Directory

Locations

415 17th St
Ste 8
Oregon City, OR 97045
Phone (503) 467-1561

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1424649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424649600000",
    "number": "1609268002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 17TH ST STE 8",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970451010",
            "telephone_number": "503-467-1561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 17TH ST STE 8",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970451010",
            "telephone_number": "503-467-1561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON MASSAGE AND WELLNESS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-23",
        "last_updated": "2015-02-23",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "CHELLE",
        "authorized_official_title_or_position": "OWNER / LMT",
        "authorized_official_telephone_number": "503-467-1561",
        "authorized_official_credential": "BA LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "5172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oregon City, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.